The effect of narrative nursing on anxiety and depression in rehabilitation patients with cerebral hemorrhage
叙事护理对脑出血康复期患者焦虑和抑郁状态的影响

摘要

目的 分析对脑出血康复期患者应用叙事护理的效果。方法 抽选2022年4月-2023年4月于我院就诊的脑出血康复期患者72例为研究对象，以分层随机法分36例为对照组实施常规心理护理，另外36例为观察组则增加叙事护理，对比两组护理前后的SAS焦虑、SDS等负性心理状态以及MCMQ医学应对方式评分和HHI希望水平；结果 护理前，两组各项观察指标评分对比差异不显著，P﹥0.05,护理后观察组负性心理状态更低、医学应对评分更高，希望水平也更高，差异显著，P﹤0.05。结论 脑出血康复期患者实施叙事护理可改善焦虑和抑郁情绪，增加心理韧性，利于患者正确客观应对疾病刺激，增加对康复治疗的信心和希望。

Abstract

Objective To analyze the effectiveness of narrative nursing in the rehabilitation period of patients with cerebral hemorrhage.
Methods 72 patients with cerebral hemorrhage during the rehabilitation period who visited our hospital from April 2022 to April 2023 were selected as the research subjects. A stratified random method was used to divide 36 patients into a control group and receive routine psychological care. The other 36 patients were added to the observation group with narrative care. The negative psychological states such as SAS anxiety and SDS, as well as the MCMQ medical coping style score and HHI hope level before and after nursing were compared between the two groups;
Results Before nursing, there was no significant difference in the scores of various observation indicators between the two groups, P>0.05. After nursing, the observation group had lower negative psychological states, higher medical coping scores, and higher hope levels, with a significant difference, P<0.05.
Conclusion   Implementing narrative nursing in patients with cerebral hemorrhage during the rehabilitation period can improve anxiety and depression, increase psychological resilience, facilitate patients to correctly and objectively respond to disease stimuli, and increase confidence and hope in rehabilitation treatment.